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  • Open Access

    REVIEW

    Wearable Healthcare and Continuous Vital Sign Monitoring with IoT Integration

    Hamed Taherdoost1,2,3,4,*

    CMC-Computers, Materials & Continua, Vol.81, No.1, pp. 79-104, 2024, DOI:10.32604/cmc.2024.054378 - 15 October 2024

    Abstract Technical and accessibility issues in hospitals often prevent patients from receiving optimal mental and physical health care, which is essential for independent living, especially as societies age and chronic diseases like diabetes and cardiovascular disease become more common. Recent advances in the Internet of Things (IoT)-enabled wearable devices offer potential solutions for remote health monitoring and everyday activity recognition, gaining significant attention in personalized healthcare. This paper comprehensively reviews wearable healthcare technology integrated with the IoT for continuous vital sign monitoring. Relevant papers were extracted and analyzed using a systematic numerical review method, covering various More >

  • Open Access

    ARTICLE

    Adaptive Signal Enhancement Unit for EEG Analysis in Remote Patient Care Monitoring Systems

    Ch. Srinivas1,*, K. Chandrabhushana Rao2

    CMC-Computers, Materials & Continua, Vol.67, No.2, pp. 1801-1817, 2021, DOI:10.32604/cmc.2021.014981 - 05 February 2021

    Abstract In this paper we propose an efficient process of physiological artifact elimination methodology from brain waves (BW), which are also commonly known as electroencephalogram (EEG) signal. In a clinical environment during the acquisition of BW several artifacts contaminates the actual BW component. This leads to inaccurate and ambiguous diagnosis. As the statistical nature of the EEG signal is more non-stationery, adaptive filtering is the more promising method for the process of artifact elimination. In clinical conditions, the conventional adaptive techniques require many numbers of computational operations and leads to data samples overlapping and instability of… More >

  • Open Access

    ARTICLE

    Electronic health record associated stress: A survey study of adult congenital heart disease specialists

    Darcy N. Marckini1, Bennett P. Samuel1, Jessica L. Parker2, Stephen C. Cook1,3

    Congenital Heart Disease, Vol.14, No.3, pp. 356-361, 2019, DOI:10.1111/chd.12745

    Abstract Background: Physician burnout has many undesirable consequences, including nega‐ tive impact on patient care delivery and physician career satisfaction. Electronic health records (EHRs) may exacerbate burnout by increasing physician workload.
    Objective: To determine burnout in adult congenital heart disease (ACHD) specialists by assessing stress associated with EHRs.
    Design: Electronic survey study of ACHD providers.
    Setting: Canada and United States.
    Participants: Three hundred eighty‐three ACHD specialists listed on the Adult Congenital Heart Association directory between February and April 2017.
    Outcome Measures: Burnout was measured using the Maslach Burnout Inventory (MBI) to understand factors contributing to work life and EHR satisfaction. Chi‐ square… More >

  • Open Access

    ARTICLE

    Optimizing patient care and outcomes through the congenital heart center of the 21st century

    Jeffery B. Anderson1, Devyani Chowdhury2, Jean A. Connor3, Curt J. Daniels4, Craig E. Fleishman5, Michael Gaies6, Jeffrey Jacobs7,8, John Kugler9, Nicolas Madsen1, Robert H. Beekman6, Stacey Lihn10, Kay Stewart-Huey11, Robert Vincent11, Robert Campbell11

    Congenital Heart Disease, Vol.13, No.2, pp. 167-180, 2018, DOI:10.1111/chd.12575

    Abstract Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our pediatric cardiology field through collaboration is now realized, permitting us to define meaningful quality metrics and establish national benchmarks through multicenter efforts. In March 2016, the American College of Cardiology hosted the first Adult Congenital/Pediatric Cardiology Section Congenital Heart Community Day. This was an open participation meeting for clinicians, administrators, patients/parents to propose metrics that optimize patient care and outcomes for a state-of-the-art congenital heart center of the 21st century. Care center… More >

  • Open Access

    ARTICLE

    Transatlantic medical consultation and second opinion in pediatric cardiology has benefit past patient care: A case study in videoconferencing

    Lubica Kovacikova1, Martin Zahorec1, Peter Skrak1, Brian D. Hanna2, R. Lee Vogel2

    Congenital Heart Disease, Vol.12, No.4, pp. 491-496, 2017, DOI:10.1111/chd.12480

    Abstract Background: Telemedicine is a rapidly evolving form of modern information and communication technology used to deliver clinical services and educational activities.
    Objective: The aim of this article is to report and analyze our experience with transatlantic consultation via videoconferencing in pediatric cardiology.
    Methods: In February, 2013, videoconferencing project was launched between a medium-volume pediatric cardiac center in Bratislava, Slovakia and subspecialty experts from a high-volume pediatric cardiac program at The Children’s Hospital of Philadelphia (CHOP), USA. During 1.5–2 hours videoconferences, 2–3 patients with similar complex clinical scenarios were presented to CHOP experts. The main goal of the project… More >

  • Open Access

    ARTICLE

    Preparing adolescents with heart problems for transition to adult care, 2009–2010 National Survey of Children with Special Health Care Needs

    Karrie F. Downing1,2, Matthew E. Oster1,3, Sherry L. Farr1

    Congenital Heart Disease, Vol.12, No.4, pp. 497-506, 2017, DOI:10.1111/chd.12476

    Abstract Objective: A substantial percentage of children with congenital heart disease (CHD) fail to transfer to adult care, resulting in increased risk of morbidity and mortality. Transition planning discussions with a provider may increase rates of transfer, yet little is known about frequency and content of these discussions. We assessed prevalence and predictors of transition-related discussions between providers and parents of children with special healthcare needs (CSHCN) and heart problems, including CHD.
    Design: Using parent-reported data on 12- to 17-year-olds from the 2009–2010 National Survey of CSHCN, we calculated adjusted prevalence ratios (aPR) for associations between demographic factors… More >

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